Craniotomy with Ridges: A Time and Cost-Efficient Technique for Unwavering Fixation of Bone Flap

Amit Kumar UPADHYAY1,Mazhar HUSAIN2,Manu RASTOGI2

1Super Speciality Cancer Institute and Hospital, Department of Neurosurgery, CG CITY, Lucknow, India2Sahara Hospital, Department of Neurosurgery, Viraj Khand, Gomti Nagar, Lucknow, India
DOI :
10.5137/1019-5149.JTN.22181-17.3
After advent of the power driven tools, the ease of surgeons and pace of surgery has been enhanced. Nowadays, most of the
neurosurgeons are tend to use the motorized drills for elevating a bone flap to make a craniotomy. The bone cutting by the
craniotome is wide and nonbeveled, which mandates the fixation of bone flap at closure, either by wiring, miniplates, or other
fixation techniques. This not only lengthens the duration of surgery but also adds extra cost of miniplates to the patient. Here we
are presenting a novel technique of elevating a bone flap where fixation at the end of surgery is not obligatory, without any risk of
sinking of bone flap into the craniotomy defect.
Keywords :
Ridges, Bone flap, Craniotomy